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Beaconshire Nursing Centre

Inspection Results

Nursing Homes Michigan Detroit Beaconshire Nursing Centre

Beaconshire Nursing Centre has been cited for a total of 90 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Beaconshire Nursing Centre.

There are 435 nursing homes in Michigan with a total of 22,041 deficiencies resulting in an average of 50.67 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, and Date of Correction
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
08-28-2020
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
J
Corrected:
08-28-2020
Keep all essential equipment working safely.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
02-12-2021
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-02-2020
Keep residents' personal and medical records private and confidential.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-02-2020
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-02-2020
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-02-2020
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
05-02-2020
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
05-02-2020
Post nurse staffing information every day.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
05-02-2020
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-02-2020
Ensure that residents are free from significant medication errors.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-02-2020
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-02-2020
Dispose of garbage and refuse properly.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
05-02-2020
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
05-02-2020
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Category:
Environmental Deficiencies
Scope:
B
Corrected:
05-02-2020
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
F
Corrected:
05-02-2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-07-2020
Protect each resident from the wrongful use of the resident's belongings or money.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
11-01-2019
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-23-2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
07-17-2019
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
07-17-2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-17-2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-17-2019
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-17-2019
Ensure that residents are free from significant medication errors.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
07-17-2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
07-17-2019
Provide or obtain dental services for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
07-17-2019
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Category:
Environmental Deficiencies
Scope:
B
Corrected:
07-17-2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
03-13-2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
11-16-2018
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
11-16-2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-16-2018
Plan the resident's discharge to meet the resident's goals and needs.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-16-2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
L
Corrected:
09-10-2018
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-15-2018
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-15-2018
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-15-2018
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
10-15-2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
10-15-2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-15-2018
Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-15-2018
Dispose of garbage and refuse properly.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
10-15-2018
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
10-15-2018
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
10-15-2018
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Category:
Environmental Deficiencies
Scope:
B
Corrected:
10-15-2018
Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
05-02-2020
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Category:
Egress Deficiencies
Scope:
E
Corrected:
05-02-2020
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Egress Deficiencies
Scope:
E
Corrected:
05-02-2020
Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
05-02-2020
Have properly located and lighted "Exit" signs.
Category:
Egress Deficiencies
Scope:
E
Corrected:
05-02-2020
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
05-02-2020
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-02-2020
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-02-2020
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-02-2020
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
05-02-2020
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
05-02-2020
Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
E
Corrected:
05-02-2020
Have elevators that firefighters can control in the event of a fire.
Category:
Services Deficiencies
Scope:
E
Corrected:
05-02-2020
Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
05-02-2020
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
05-02-2020
Meet other general requirements that are deficient.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
05-02-2020
Have power receptacles that are properly grounded.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
05-02-2020
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
05-02-2020
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
05-02-2020
Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
05-02-2020
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
F
Corrected:
08-18-2019
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Egress Deficiencies
Scope:
E
Corrected:
08-18-2019
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
08-18-2019
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
08-18-2019
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
08-18-2019
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
08-18-2019
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
08-18-2019
Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
08-18-2019
Include a process for Emergency Preparedness collaboration.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
10-15-2018
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
E
Corrected:
10-15-2018
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Egress Deficiencies
Scope:
E
Corrected:
10-15-2018
Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
10-15-2018
Have properly located and lighted "Exit" signs.
Category:
Egress Deficiencies
Scope:
E
Corrected:
10-15-2018
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-15-2018
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
10-15-2018
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
10-15-2018
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
10-15-2018
Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-15-2018
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-15-2018
Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
E
Corrected:
10-15-2018
Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-15-2018
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-15-2018
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-15-2018
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-15-2018

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Beaconshire Nursing Centre

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